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Atropine Eye Drops - Risks and Benefits

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Atropine eye drops have many benefits and risks. Read the article to know more about its risks and benefits.

Medically reviewed by

Dr. Asha Juliet Barboza

Published At August 2, 2023
Reviewed AtAugust 2, 2023

Introduction

Atropine eye drops are a liquid solution used to dilate the pupil of the eye. Atropine is the active ingredient present in the atropine eye drops. These belong to the class of drugs known as anticholinergics. Ophthalmologists and optometrists use these drops to diagnose and treat various eye conditions, such as lazy eye (amblyopia), myopia (nearsightedness), and uveitis (inflammation of the uvea). Atropine eye drops block certain nerve impulses that lead the eye muscles to constrict, resulting in dilation of the pupil. The effects of certain drops may last for several hours. There are specific side effects, such as blurred vision, increased heart rate, and dry mouth.

In recent years, the interest in the use of atropine eye drops is growing for the management of myopia, especially in children. The potential side effects of atropine eye drops are a concerning fact. The article will explore the use of atropine eye drops in managing myopia, including safety profile, efficacy, and mechanism of action. The article discusses the benefits and risks of using atropine eye drops to manage ocular disorders.

How Should Atropine Eye Drops Be Used?

Atropine eye drops should be used as prescribed by the healthcare professional. The doctor may prescribe one or two drops to the affected eye once or twice daily. The frequency and exact dosage depend on the patient's response to the medication and the treatment condition. The eye drops do not be taken by mouth. The drops are for eye use only. It is essential to avoid touching the tip of the dropper. Applying with a contaminated tip of the dropper that has come in contact with the eye or any other surface can lead to an eye infection. Atropine eye drops should not be used with other eye medication. The drops should be used five minutes apart to allow the drug to be absorbed correctly.

An individual must follow the directions on the prescription label. Hand washing before and after using the atropine eye drops. Using the index finger, the doctor pulls the lower eyelid. The patient is instructed not to blink the eye for 30 seconds. Then the eye is closed to spread the drops. Do not touch the eye or surrounding areas for some time.

How Does Atropine Eye Drop Work?

Atropine blocks the action of a neurotransmitter known as acetylcholine in the colored part of the eye, which is the muscles of the iris. Normally, acetylcholine causes the constriction of the muscle of the iris, which results in smaller pupil size. Atropine blocks acetylcholine's action, causing the iris muscle to relax, which results in dilatation of the pupil. The drops help in improving visual clarity in certain eye conditions. The effect is helpful for various purposes, such as eye examination and surgery. It also treats certain eye diseases such as uveitis (inflammation of the uvea or eye) or lazy eye (amblyopia).

What Are the Contraindications of Atropine Eye Drops?

Atropine eye drops should be used by an individual with certain conditions. Atropine eye drops is contraindicated in some people with certain conditions that are as follows:

  • Glaucoma: Atropine eye drops are contraindicated in patients with glaucoma because atropine increases the eye's intraocular pressure, which can worsen the condition. It can lead to optic nerve damage.

  • Myasthenia Gravis: Atropine can worsen the condition, leading to fatigue and muscle weakness.

  • Obstructive Diseases of Gastrointestinal Tract: Atropine can decrease muscle movement in the digestive tract, which worsens the symptoms associated with certain gastrointestinal disorders.

  • Pregnancy or Breastfeeding: Atropine drops can be used carefully in pregnant or breastfeeding women because the medication can cross the placenta or pass through breast milk.

What Eye Conditions Are Treated With Atropine Eye Drops?

Atropine eye drops are used to treat certain types of eye diseases such as lazy eye, myopia, and uveitis. A lazy eye is also known as amblyopia, which affects how the brain processes visual information. The atropine eye drops strengthen the weaker eye by dilating the pupil.

What Are the Benefits of Atropine Eye Drops?

The benefits depend on the specific eye condition being treated. The benefits of atropine eye drops are as follows:

  • Amblyopia Treatment: Atropine eye drops the weaker muscles by dilating the pupil. This reduces the risk of vision loss and improves visual acuity.

  • Reduce Inflammation: Atropine eye drops can decrease the inflammation of the eye by dilating the pupil, which can help reduce pain, swelling, and sensitivity to light.

  • Slow the Progression of Myopia: Atropine eye drops help to relax eye muscles.

  • Ease of Use: Atropine eye drops can be easily used and administered at home by an individual.

  • Fewer Systemic Side Effects: Atropine eye drops have a low risk of causing systemic side effects.

What Are the Side Effects of Atropine Eye Drops?

Atropine eye drops can cause several side effects, which depend on the patient's overall health and the dose of the medication. The common side effects are as follows:

  • Blurred Vision: Atropine eye drops can cause temporary blurred vision in bright light.

  • Mouth and Throat Dryness: These drops can cause mouth and throat dryness which can be reduced by sucking on a hard candy or drinking water.

  • Increased Heart Rate: These eye drops can increase the heart rate in patients with underlying heart conditions.

  • Sensitivity to Light: These drops can make the eyes more sensitive to bright light.

  • Headache: These can cause headaches in some patients.

The serious side effects are as follows:

  • Allergic Reaction: Atropine eye drops can cause allergic reactions, including redness, swelling, and Itching of the eye or surrounding areas.

  • Confusion: These eye drops can cause confusion, hallucinations, and delirium.

  • Seizures: Atropine eye drops can cause seizures in patients with epilepsy.

Conclusion

Atropine eye drops treat certain disorders such as amblyopia, uveitis, and myopia. These eye drops have specific benefits and side effects. The benefits include reducing inflammation and improving visual acuity. The side effects include blurred vision, mouth dryness, increased heart rate, and sensitivity to light. It is important to consult online with the healthcare provider.

Dr. Asha Juliet Barboza
Dr. Asha Juliet Barboza

Ophthalmology (Eye Care)

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